Provider Type Icon

LIFEBRIDGE COMMUNITY PHYSICIANS INC NPI 1285113704


NPI Information

NPI: 1285113704
Provider Name: LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
940 MADISON AVENUE FIRST FLOOR
BALTIMORE, MD
ZIP 27201
Phone: (410) 383-4135
Get Directions

LIFEBRIDGE COMMUNITY PHYSICIANS, INC is a cardiovascular disease internal medicine in Baltimore, MD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LIFEBRIDGE COMMUNITY PHYSICIANS, INC NPI is 1285113704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

940 MADISON AVENUE FIRST FLOOR
BALTIMORE, MD
ZIP 27201
Phone: (410) 383-4135
Fax: (410) 383-4830

The provider's authorized official is Mary Wright-sisk .
The authorized official title is Director, Community Physician Enter and has the following contact phone number (443) 422-9941.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseD0037343MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.